Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $45.43 / $276.72	Facility		$16.80	$45.43	$276.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $22.47 / $24.01	Professional		$19.55	$22.47	$24.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $32.29 / $87.43	Facility		$18.23	$32.29	$87.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.48 / $50.65	Professional		$9.36	$12.48	$50.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $25.27 / $40.43	Facility		$16.43	$25.27	$40.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $25.27	Professional		$16.43	$16.43	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $55.59 / $78.37	Facility		$22.54	$55.59	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $30.98 / $38.72	Professional		$15.58	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $32.85 / $90.79	Professional		$27.61	$32.85	$90.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $469.64 / $469.64 / $469.64	Facility		$469.64	$469.64	$469.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $20.69 / $44.24	Professional		$14.83	$20.69	$44.24